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| 腹腔镜胆囊切除术并发症的防治 | |
| 引用本文： | 李平军,杨峻峰,胡伟,袁爱军,田明国,嵇振岭,杨德同,孙鸿源. 腹腔镜胆囊切除术并发症的防治[J]. 腹部外科, 2005, 18(2): 98-99 |
| 作者姓名： | 李平军 杨峻峰 胡伟 袁爱军 田明国 嵇振岭 杨德同 孙鸿源 |
| 作者单位： | 1. 226010,江苏省扬州大学第四临床医学院南通瑞慈医院中德微创外科合作中心 2. 东南大学附属中大医院普外科 3. 河南省新乡医学院附属第一医院普外科 |
| 摘 要： | 目的 探讨腹腔镜胆囊切除术并发症的防治。方法 回顾性分析我们2001 年3 月~2004年8月1 400例LC的临床资料。结果 术后发生出血7例、胆漏4例、胆总管残余结石9例,均经手术及保守治疗治愈。无胆管损伤和死亡病例。结论 术中遵循暴露充分、钝性分离、准确识别胆囊壶腹和胆囊管交界部、适时应用术中胆道造影的原则是减少术后并发症的重要措施。 |
| 关 键 词： | 胆囊切除术,腹腔镜 手术后并发症 综合预防 |
| 修稿时间： | 2004-10-08 |
Prevention and treatment of complications following laparoscopic cholecystectomy |
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| LI Ping-jun,YANG Jun-feng,HU Wei,et al.. Prevention and treatment of complications following laparoscopic cholecystectomy[J]. Journal of Abdominal Surgery, 2005, 18(2): 98-99 | |
| Authors: | LI Ping-jun YANG Jun-feng HU Wei et al. |
| Affiliation: | LI Ping-jun,YANG Jun-feng,HU Wei,et al.Cooperative Center of Chinese-Germany Minimally Invasive Surgery,Ruici Hospital of 4th Clinical College,Yangzhou University,Nantong,226010,China |
| Abstract: | Objective To investigate the prevention and treatment of the complications following laparoscopic cholecystectomy(LC),including bleeding,bile leakage,bile duct injury and stone residue in common bile duct.Methods 1400 cases subject to LC were studied retrospectively from March 2001 to September 2004.Results Operative complications:bleeding(7 cases,0.5%);bile leakage(4 cases,0.29%);stone residue(9 cases,0.64%).All the complications were successfully cured by operation or conservative methods.There were no bile duct injury and death.Conclusion The important procedures to prevent and reduce the complications are to fully expose the operative field,perform blunt isolation,correctly identify the board between ampulla of gallbladder and cystic duct,timely make cholangiography during operation. |
| Keywords: | Cholecystectomy laparoscopic Postoperative complications Universal precautions |
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